| NPI | 1164181038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ID 41264) |
| 1041C0700X Social Worker Clinical (Licence: AK 183741) | |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2023-10-18 |